NPI 1083983027

Joan M Harradine

Practitioner Local Education Agency (LEA) Brockport, NY

Practice location

Address: 40 Allen St, Brockport, NY 14420-2228
Phone: (585) 637-1832

Registered specialties

Local Education Agency (LEA) Primary

Agencies Taxonomy 251300000X Licence 276153-1 (NY)

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Registry record

NPI: 1083983027
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2011
Record last updated: 20 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.